Individual provider Active NPI

Stephanie Carolyn Lumsden, FNP

  • Family Nurse Practitioner
  • Auburn, GA
National Provider Identifier
1467215707
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN261272 Issued in GA
Practice address
1034 Scarlet Sage Cir
Auburn, GA 30011-2413
Phone
(786) 459-7131
Fax
(770) 564-1231
NPI assigned
Jan 31, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN261272 GA Primary

Addresses

Primary practice location

1034 Scarlet Sage Cir
Auburn, GA 30011-2413

Mailing address

1034 Scarlet Sage Cir
Auburn, GA 30011-2413
Phone (786) 459-7131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240702002879 GA Practitioner - Nurse Practitioner 7113461088 Reassigns benefits to 1 organization
I20250404002495 NY Practitioner - Nurse Practitioner 7113461088 Reassigns benefits to 1 organization
I20250407000234 FL Practitioner - Nurse Practitioner 7113461088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN261272GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
True Care Physicians LLC Single Specialty CurrentSince Apr 20, 2024 Accepting new patients
Alegis Care Services LLC Single Specialty CurrentSince Jul 25, 2024 Accepting new patients
Alegis Care Services LLC Single Specialty CurrentSince Jul 25, 2024 Accepting new patients
Multiviz Medical Services PC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Rockaway HD LLC Past Accepting new patients

Locations

7300 Del Prado Cir S
Boca Raton, FL 33433
Phone (561) 392-3000

11175 Cicero Dr
Ste 100
Alpharetta, GA 30022
Phone (214) 783-6295

190 Technology Pkwy
Ste 120
Peachtree Corners, GA 30092
Phone (770) 935-2510

1324 Rockbridge Rd
Stone Mtn, GA 30087
Phone (678) 390-5096

529 Beach 20th St
Far Rockaway, NY 11691
Phone (516) 770-5712

529 Beach 20th St
Ste 1
Far Rockaway, NY 11691
Phone (718) 327-4503

300 Garden City Plz
Ste 418
Garden City, NY 11530
Phone (516) 481-7050

80 N Franklin St
Hempstead, NY 11550
Phone (516) 481-6433

730 Cool Springs Blvd
Ste 500
Franklin, TN 37067

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1467215707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 SCARLET SAGE CIR",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300112413",
            "telephone_number": "786-459-7131",
            "fax_number": "770-564-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 SCARLET SAGE CIR",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300112413",
            "telephone_number": "786-459-7131",
            "fax_number": "770-564-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMSDEN",
        "first_name": "STEPHANIE",
        "middle_name": "CAROLYN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN261272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, GA

Sources for this page

Verify at the official NPI Registry.